Action
Begin resuscitative efforts
- Supplemental oxygen and respiratory support as needed
- Bilateral peripheral IV access
- Crystalloid IV bolus
Decision
SUSPICION FOR OTHER CAUSES OF HEMODYNAMIC INSTABILITY?
- Evidence of sepsis, bleeding, cardiogenic shock?
- Perform bedside ultrasound to evaluate for other causes of shock (Class I-II)
Yes
- Treat underlying condition
- Anticipate decompensation
- Admit (Class I)
Suspicion for accessory pathway?